Active NPI
Eliodis Denis
- Medical Physician Assistant
- Guaynabo, PR
National Provider Identifier
1235902826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001763PA
- Practice address
- 2 Calle Neptuno
Guaynabo, PR 00969-4953 - Phone
- (346) 404-3725
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001763PA | PR | Primary |
Addresses
Primary practice location
2 Calle Neptuno
Guaynabo, PR 00969-4953
Mailing address
2 Calle Neptuno
Guaynabo, PR 00969-4953
Phone (346) 404-3725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001763PA | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1235902826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CALLE NEPTUNO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694953",
"telephone_number": "346-404-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CALLE NEPTUNO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694953",
"telephone_number": "346-404-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENIS",
"first_name": "ELIODIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "001763PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.